Provider Demographics
NPI:1437318342
Name:DROZDA, STEPHEN F (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:F
Last Name:DROZDA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9980 PARK MEADOWS DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6739
Mailing Address - Country:US
Mailing Address - Phone:303-339-9620
Mailing Address - Fax:303-339-9621
Practice Address - Street 1:9980 PARK MEADOWS DR
Practice Address - Street 2:SUITE 106
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6739
Practice Address - Country:US
Practice Address - Phone:303-339-9620
Practice Address - Fax:303-339-9621
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1255103T00000X, 103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral